Speckle-tracking analysis of the right and left heart after peak exercise in healthy subjects with type 1 diabetes: an explorative analysis of the AppEx trial
File(s)jcdd-10-00467.pdf (871.71 KB)
Published version
Author(s)
Type
Journal Article
Abstract
In eight healthy participants with Type 1 diabetes (T1D) exercise-related dynamic cardiac remodeling was analyzed by performing two-dimensional echocardiography, including deformation analysis of the left-ventricular (LV) global longitudinal strain (LV-GLS), and the deformation pattern of the left atrium (LA) and right ventricle (RV) at rest and post-peak performance on a bicycle. The feasibility echocardiographic speckle-tracking analysis was performed on eight asymptomatic participants with T1D (n = 8, male n = 5, age: 23–65 years). The obtained echocardiographic data were compared for various echocardiographic parameters at rest and post exercise. Across our participating T1D individuals no structural echocardiographic abnormalities of concern could be revealed. All participating T1D subjects showed preserved contractile reserve of the LV and no significant diastolic dysfunction. Significant differences were found for the phasic LA contractile strain pattern at rest and post exercise (p < 0.001), whereby the dynamic RV (p = 0.5839 and p = 0.7419) and LV strain pattern (p = 0.5952) did not reveal significant differences in comparison to resting conditions. This descriptive secondary outcome analysis describes preserved contractile reserve of the LV and elucidates dynamic modification of the phasic LA contractile deformation pattern in asymptomatic T1D individuals after exhaustive exercise on a bicycle.
Date Issued
2023-11
Date Acceptance
2023-11-15
Citation
Journal of Cardiovascular Development and Disease, 2023, 10 (11)
ISSN
2308-3425
Publisher
MDPI AG
Journal / Book Title
Journal of Cardiovascular Development and Disease
Volume
10
Issue
11
Copyright Statement
© 2023 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).
License URL
Identifier
https://www.mdpi.com/2308-3425/10/11/467
Subjects
ARTERIAL STIFFNESS
Cardiac & Cardiovascular Systems
cardiac remodeling
Cardiovascular System & Cardiology
CHAMBER QUANTIFICATION
CONSENSUS DOCUMENT
diabetic cardiomyopathy
DIASTOLIC FUNCTION
echocardiography
ECHOCARDIOGRAPHY
EUROPEAN ASSOCIATION
GLOBAL LONGITUDINAL STRAIN
GLYCATION END-PRODUCTS
LEFT ATRIAL
Life Sciences & Biomedicine
MYOCARDIAL-FUNCTION
Science & Technology
strain analysis
type 1 diabetes
Publication Status
Published
Article Number
467
Date Publish Online
2023-11-17